Organization
VITAE HEALTH CLINICAL SERVICES KENTUCKY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YITZCHAK FREUND (CHIEF OPERATING OFFICER)
(224) 777-8045
Entity
Organization
Contact information
Practice address
1333 W MAIN ST, PRINCETON, KY 42445-6211
(270) 365-3541
(270) 365-5064
Mailing address
415 W GOLF RD STE 26, ARLINGTON HEIGHTS, IL 60005-3923
(224) 777-8045
(312) 312-9575
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/22/2023
Last updated
03/25/2025
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